In the context of caring for a patient diagnosed with Crohn’s disease, which nursing assessment should be prioritized?

Choice A rationale

Returning the platelet bag and tubing to the blood bank is not the immediate action to take when a client reports having lower back pain and feeling chilled and itchy during a PRBC transfusion. These symptoms could indicate a transfusion reaction, which is a serious complication that requires immediate intervention.

Choice B rationale

Stopping the infusion is the first action the nurse should take when a client reports symptoms of a transfusion reaction. This is because continuing the transfusion could worsen the reaction and potentially lead to more serious complications.

Choice C rationale

While notifying the provider is an important step in managing a transfusion reaction, it is not the first action the nurse should take. The nurse should first stop the infusion to prevent further exposure to the blood product.

Choice D rationale

Collecting a urine sample from the client is not the immediate action to take when a client reports having lower back pain and feeling chilled and itchy during a PRBC transfusion. These symptoms could indicate a transfusion reaction, which requires immediate intervention.

Choice A rationale

Pyorrhea, also known as periodontitis, is a severe gum infection that damages gums and can destroy the jawbone. It is not related to bleeding between menstrual periods.

Choice B rationale

Dysmenorrhea refers to painful periods, not bleeding between periods.

Choice C rationale

Menorrhagia is a term used to describe heavy or prolonged menstrual bleeding, not bleeding between periods.

Choice D rationale

Metrorrhagia is the term used to describe bleeding between menstrual periods. When documenting this finding, it’s helpful to keep a record of the menstrual cycle, noting when periods begin and end, the heaviness and duration of the flow, and when and how much bleeding occurs between periods.